[Surgical treatment of chronic rhinosinusitis in childhood].

The objective of the present study was to evaluate the long-term results of surgical treatment of chronic rhinosinusitis in 320 children depending on the from of the disease. The main cause of relapses of the exudative forms was obliteration of natural and artificial (formed in the course of surgical intervention) intersinus anastomoses as a result of the adhesion process. One-step combined surgery for the treatment of chronic rhinosinusitis (sinusotomy with simultaneous septoplasty, adenotomy, and turbinate reduction) is rarely performed in the children because of the high risk of the adhesive process. The highest frequency of relapses was documented after the surgical treatment of polypous forms of chronic rhinosinusitis. It is recommended that the treatment of polyposis in the young children should be restricted to polypotomy in the nasal cavity in combination with corticosteroid therapy whereas that in the elder patients should be extended to sinusotomy since it is known to result in fewer relapses. The best results were obtained with the management of cystic forms of chronic rhinosinusitis.